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Left hepatectomy in a patient with a Fontan circulation
Kevin Shing Lo1, Miu-Yee Chan2, Ka-Wing Ma2
1Department of Anaesthesiology, The University of Hong Kong, Hong Kong, China.
Translational Gastroenterology and Hepatology
|September 19, 2018
Summary
Patients with Fontan circulation face risks of liver cirrhosis and cancer. A successful liver resection (hepatectomy) was performed on a young woman, demonstrating safe surgical management in this high-risk population.
Area of Science:
- Cardiology and Hepatology
- Congenital Heart Disease Management
Background:
- Fontan circulation patients have long-term risks including cardiac cirrhosis and hepatocellular carcinoma (HCC).
- Hepatectomy in these patients is challenging due to compromised Fontan circulation and increased surgical risk.
Observation:
- A case report of a 24-year-old woman following a Fontan operation.
Findings:
- The patient successfully underwent a left hepatectomy.
- The anesthetic and surgical management strategies were detailed.
Implications:
- This case demonstrates the feasibility of hepatectomy in select Fontan patients.
- Highlights the importance of tailored anesthetic and surgical approaches for managing liver disease in Fontan circulation.
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